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General NPI Number Information
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NPI Number | 1144213547
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Entity Type | Organization
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Legal Business Name | DERMATOLOGY & COSMETIC SURGERY CENTER PC
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 100 N WREN DR
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City | PITTSBURGH
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State | PA
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Zip | 15243-1248
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Country | US
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Telephone | 412-429-2570
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Fax | 412-429-2572
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Provider Business Mailing Address
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Address Line | 100 N WREN DR
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City | PITTSBURGH
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State | PA
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Zip | 15243-1248
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Country | US
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Telephone | 412-429-2570
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Fax | 412-429-2572
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Authorized Official
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Title or Position | CEO
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Name | MARION M VUJEVICH
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Credential | MD
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Telephone | 412-429-2570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 10721500
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License Number State | PA
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